Rajput Mithun Singh, Sarkar Purnima Dey
Department of Medical Biochemistry, M.G.M. Medical College, A.B. Road, Indore 452001, M.P., India.
Department of Medical Biochemistry, M.G.M. Medical College, A.B. Road, Indore 452001, M.P., India.
Chem Biol Interact. 2017 Apr 25;268:93-102. doi: 10.1016/j.cbi.2017.02.021. Epub 2017 Mar 1.
The association of diabetes and cognitive decline may indicate that high sugar level might be a risk factor for Alzheimer's disease. A collective term 'diabetes associated cognitive decline' (DACD) has been coined for the patients with type 2 diabetes mellitus showing decline in their cognitive function, especially weak episodic memory, cognitive inflexibility and poor psychomotor performance leading towards Alzheimer's disease. However, at present, no specific treatment exists for the prevention and/or treatment of DACD. Genistein, an isoflavone phytoestrogen, reveals neuroprotective effects in many experimental murine models, though its role on DACD with probable mechanistic approach has still been scope for research. The motive behind the present study is to investigate the outcome of genistein treatment against DACD in streptozotocin-induced diabetic mice with Morris water maze paradigm followed by open field trial to rule out the possibility of impairment in locomotor performance. Chronic (30 days) genistein treatment (2.5, 5.0 and 10.0 mg/kg, i.p. once daily) in diabetic mice significantly lowered hyperglycemia, recovered cognitive performance by affecting acetylcholinesterase activity and oxidative stress and ameliorated neuro-inflammatory condition by varying TNF-α, IL-1β and nitrite levels as impaired in diabetic mice. Thirty days treatment with vitamin C or metformin also improved diabetes-induced memory impairment and significantly dragged these biochemical parameters towards respective controls. Locomotor performance was not influenced by diabetic condition or any associated treatment. It is concluded that genistein supplementation might be a prospective therapeutic approach for the treatment and/or avoidance of diabetic linked learning and memory dysfunction.
糖尿病与认知功能衰退之间的关联可能表明高血糖水平可能是阿尔茨海默病的一个风险因素。对于2型糖尿病患者出现认知功能衰退,尤其是情景记忆薄弱、认知灵活性差和精神运动表现不佳并发展为阿尔茨海默病的情况,已创造了一个统称“糖尿病相关认知衰退”(DACD)。然而,目前尚无针对DACD预防和/或治疗的特异性疗法。染料木黄酮是一种异黄酮类植物雌激素,在许多实验小鼠模型中显示出神经保护作用,但其对DACD的作用及可能的作用机制仍有待研究。本研究的目的是采用莫里斯水迷宫范式,研究染料木黄酮对链脲佐菌素诱导的糖尿病小鼠DACD的治疗效果,随后进行旷场试验以排除运动性能受损的可能性。对糖尿病小鼠进行慢性(30天)染料木黄酮治疗(2.5、5.0和10.0毫克/千克,腹腔注射,每日一次)可显著降低高血糖,通过影响乙酰胆碱酯酶活性和氧化应激恢复认知性能,并通过改变糖尿病小鼠受损的肿瘤坏死因子-α、白细胞介素-1β和亚硝酸盐水平改善神经炎症状态。用维生素C或二甲双胍进行30天治疗也改善了糖尿病引起的记忆障碍,并使这些生化参数显著接近各自的对照组。糖尿病状态或任何相关治疗均未影响运动性能。结论是,补充染料木黄酮可能是治疗和/或避免糖尿病相关学习和记忆功能障碍的一种有前景的治疗方法。